Individual provider Active NPI

Lisa McCoy, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1285183822
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95023648 Issued in CA
Practice address
3600 S National Ave
Springfield, MO 65807-7311
Phone
(417) 322-6622
Fax
(417) 350-1935
NPI assigned
Sep 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024194403 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1090715 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9268710 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277003438 IL
Family Nurse Practitioner 363LF0000X 2016033609 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2021003721 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2016033609 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95023648 CA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 219177 AR

Addresses

Primary practice location

3600 S National Ave
Springfield, MO 65807-7311

Mailing address

3600 S National Ave
Springfield, MO 65807-7311
Phone (417) 322-6622

Other practice location 1

5548 N Farmer Branch Rd
Ozark, MO 65721-5315
Phone (417) 322-6622

Other identifiers 1

IdentifierTypeStateIssuer
420046762MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, CA, TX, MO4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220712001669 AR Practitioner - Nurse Practitioner 3274820444
I20240111004267 CA Practitioner - Nurse Practitioner 3274820444 Reassigns benefits to 1 organization
I20241107000172 TX Practitioner - Nurse Practitioner 3274820444 Reassigns benefits to 1 organization
I20241204000568 MO Practitioner - Nurse Practitioner 3274820444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Saint Louis, MO 63133
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95023648CAMDPsychiatric/Mental Health Nurse Practitioner
APRN9268710FLMDPsychiatric/Mental Health Nurse Practitioner
277003438ILMDPsychiatric/Mental Health Nurse Practitioner
2016033609MOMDPsychiatric/Mental Health Nurse Practitioner
0024194403VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthright 360 CurrentSince Nov 29, 2023 Accepting new patients
Brightside Health, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Healthright 360 CurrentSince Nov 29, 2023 Accepting new patients
Healthright 360 Current Accepting new patients
Brightside Medical, P.C. CurrentSince Oct 1, 2024 Accepting new patients
Healthright 360 PastSince Nov 29, 2023 Accepting new patients
Eustasis Foundation, Inc PastSince Aug 30, 2020 Accepting new patients
Healthright 360 Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

6907 Page Ave
Saint Louis, MO 63133
Phone (317) 480-0421

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1285183822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077311",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077311",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5548 N Farmer Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "MO",
            "postal_code": "657215315",
            "country_code": "US",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "LISA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024194403",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1090715",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9268710",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277003438",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016033609",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2021003721",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2016033609",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95023648",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "219177",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420046762",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.